IMPORTANT. Read instructions carefully before completing the form.
A member of the applicant's immediate family is not acceptable as a recommender.

INSTRUCTIONS

HOW TO COMPLETE FORM

(A) All applicants should complete Sections 1, 2, 6, 7 and if appropriate to their own application, Sections 3 and 4.

(B) Children under 16 years of age can normally be included (without extra charge) on the passport of the parent who, in completing the application form must also enter particulars of the children under Sectiion 5. The consent of the legal guardian required for the inclusion of a child on the passport. Application for the addition of children to an existing passport should be made by completing a Child Addition form.

Should separate passport be required for a child under 16, application by or with the written consent of the legal guardian can be made on Form "B".

(C) Signing the form. The application form must be signed in Section 7 by the applicant. Section 8 should be completed by the person verifying the declaration who should be a Member of the National Assembly, Island Assembly, Justice of the Peace, Notary Public, Minister of Religion, Medical or Legal Practitioner, Senior Civil Servant, Senior Bank Official, Gazetted Police Officer, or any person of similar standing PERSONALLY ACQUAINTED with the applicant.

The Fee for the Passport is one-hundred dollars ($100.00) (payable in Stamps)
for 10 years.

DOCUMENTS TO BE PRODUCED

(D) (i) All applicants should produce birth certificates or certificates of naturalization or registration as citizens of St Christopher (St. Kitts) and Nevis as the case may require.

(ii) Married women (including widows and women whose marriages have been terminated) should produce documents specified in (i) above along with Marriage Certificate and applicants who are divorced should produce evidence of divorce. A married woman claiming citizenship by marriage should also submit the birth certificate of her husband.

(iii) For children under 16 to be included in the passport, the children's birth certificates are required. If the applicant is not the legal guardian a letter of consent from the father/mother or other legal guardian or guardian is required.

Documents as for all applicants (see paragraph (i) above; the written consent of the legal guardian is also required, except where applicant is married.

NOTE:- Where an Order or Direction has been made by the High Court or in chambers, or by a Magistrate regarding the custody of a child such Order must be produced or the nature of direction stated.

(iv) Change of Name. If the applicant has changed his or her name, the deed poll recording the change or other evidence to show how and when it was changed must also be submitted. A Birth Certificate with note of change of name is regarded as evidence that a change of name has been effected.

(v) Persons born outside of St. Christopher (St. Kitts) and Nevis as constituted on 19th September, 1983 and all persons claiming Citizenship by naturalization or registration, must complete Section 4 and may be required to produce documentary evidence in support of the statements made therein.

(vi) A Police Certificate should also be produced.

PHOTOGRAPHS

Three copies of a recent photograph of the applicant must be included with the application. These photographs should be taken full face, without a hat and must not be mounted. The size of the photographs must not be more than 2½ inches by 2 inches or less than 2 inches by 1½ inches. The photographs must be printed on normal thin photographic paper and must not be glazed on the reverse side. The recommender is also required to endorse the reverse side of one copy of the photographs with the words: "I certify that this is a true likeness of the applicant Mr./Mrs./Miss" and add his signature.

1

Surname (in block capitals) &nbsp State whether Mr. / Mrs. / Miss

Christian Names (in full; in block capitals)

State whether married, single or marriagedissolved

Maiden Name (if applicant is woman who is or has been married)

Has name been changed (otherwise than by marriage)? yes / noIf so, state original name

PERSONAL DESCRIPTION

Height

Applicant: ft. in.Wife: ft. in.

Age last birthday

Place of birth

Date of birth

Colour of Eyes

Applicant: Wife:

Profession

Occupation

Colour of hair

Applicant: Wife:

Present address (in block capitals)

Special Peculiarities

Applicant: Wife:

2

CITIZENSHIP State whether Citizen of St. Christopher and Nevis by

Particulars of Certificate of Citizenship

Number of Certificate

Place of Issue

Date of Issue

3

PERSONS WHO ARE CITIZENS OF ST. CHRISTOPHER (ST. KITTS) AND NEVIS BY MARRIAGE ONLY(a) Particulars of spouse or former spouse

Name of spouse or former spouse

Place of marriage

Date of marriage

Spouse's place of birth

Spouse's date of birth

4

PERSONS BORN ABROAD

A. If applicant's birth was registered as a Citizen of St. Christopher (St. Kitts) and Nevis abroad state:-

Name of Consulate

Date of Registration

Place and date of father's / mother's birth

B. Particulars of applicant's father/mother

If born in St. Christopher (St. Kitts) and Nevis
Place of birth Date of birth

If citizen of St. Christopher (St. Kitts) and Nevis by naturalization or registration
No. of certificate Date and place of issue

5

CHILDREN UNDER 16 (If to be included in the passport)

Christian Names in full

Surname

Place of Birth

Date of Birth

Sex and Relationship to Applicant

6

PASSPORT REQUIRED FOR TRAVELLING TO

PURPOSE OF TRAVEL

7

DECLARATION

I declare that the information given in the application is correct to the best of my knowledge and belief, and

That I have not lost the status of Citizenship of St. Christopher (St. Kitts) and Nevis.

That I have not previously held or applied for any passport whatever or

That all previous passports granted to me have been cancelled other than passport No. which is now attached and that I have made no other application for a passport since the attached passport was issued to me.

Delete "C" or "D" whichever is inapplicable.

SignatureDate

NOTE: If you have had a passport which has been lost, delete C and D and complete Section 9 of this form.

8

RECOMMENDER: I declare that to the best of my personal knowledge and belief the above-made declarations and description of the said Mr./Mrs./Miss are true, and that I can from my personal knowledge of him/her vouch him/her as a fit and proper person to receive a passport. I have known the applicant for years.

SignatureDate

Full NameAddress

Profession

IMPORTANT: Applicants and recommenders are warned that should any statement contained in their respective declarations prove to be untrue, the consequences to them may be serious. The attention of persons who are asked to sign this declaration is specially called to the fact that it can only be signed from Personal Knowledge of the applicant and not from information obtained from other persons.

9

(See note, Section 7)

PARTICULARS OF PREVIOUS PASSPORT WHICH HAS BEEN LOST OR IS NOT AVAILABLE FOR PRESENT USE

No. issued at on

Bearer's names

Circumstances in which passport was lost or destroyed, or other reason for its non-availability

Place and date of loss

What measures were taken at the time to report loss and to obtain recovery?

Has loss been reported to the Police?

I certify that the above particulars are correct and undertake in the event of the passport coming again into my possession to return it to the Passport Office.

Date Signed

Specimen SignaturePlease sign on all three lines)

FOR OFFICIAL USE

DOCUMENTS PRODUCED TO BE NOTED HERE

If, pending divorce proceedings, any judicial order or direction is made regarding the custody of any child whose name is to be included in the passport, state nature of the order or direction below.